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Get TX DSHS EF23-10618 2012

Ble fee made payable to: Texas Department of State Health Services, RLU, Food & Drug Licensing, P.O. Box 12008, Austin, Texas 78711 For assistance in completing this application call (512) 834-6727 LICENSE # Name Under Which Business is Conducted (DBA): Physical Address to be Licensed: City, County, State, Zip Code: Telephone # at address: ( ) Type of Operation (Check all that apply): â–¡ Tattooing â–¡ Permanent Cosmetics â–¡ Scarification â–¡ Tattoo studio initial/renewal license or cha.

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